Daniel S Maudlin DDS PC

General Practice Dentistry · Portage, MI

Organization Active NPI

NPI number 1407070535

Practice location

3060 W Centre Ave
Portage, MI 49024-4825
Phone
(269) 327-4473
Fax
(269) 327-1174

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NPI record

NPI
1407070535
Entity type
Organization (Type 2)
Enumeration date
April 12, 2007
Last updated
November 4, 2010
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 10702 MI

Authorized official

Name
Mr. Daniel Sydney Maudlin, D.D.S
Title
General Dentist
Phone
(269) 327-4473

About Daniel S Maudlin DDS PC

Daniel S Maudlin DDS PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3060 W Centre Ave, Portage, MI 49024-4825. The NPI number 1407070535 was assigned on April 12, 2007 and the record was last updated on November 4, 2010.

Daniel S Maudlin DDS PC lists a license in the registry: #10702 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mr. Daniel Sydney Maudlin, D.D.S, General Dentist.

Frequently asked questions

What is the NPI number of Daniel S Maudlin DDS PC?

The NPI number is 1407070535.

What is the phone number of Daniel S Maudlin DDS PC?

The phone number listed for the practice location is (269) 327-4473.

Where is Daniel S Maudlin DDS PC located?

3060 W Centre Ave, Portage, MI 49024-4825.

What is the taxonomy code for Daniel S Maudlin DDS PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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